When is sedation used? - Dani Dentista Odontopediatría

When is sedation used?

Dental care under general outpatient anesthesia is used for the following dental patients:

  • Children and/or young infants who cannot tolerate dental care or who require complex procedures.
  • Patients with dental care phobia, i.e. exaggerated and uncontrollable fear related to dental care. related to dental care.
  • Patients with special needs.
  • Only in healthy patients or those with mild controlled disease (ASA I and ASA II). The patient does not have to have significant medical pathologies to be able to undergo the procedure.

What does dental care under general anesthesia consist of?

This procedure allows complex dental care to be performed in a single session. Short-acting anesthetic drugs, specialized anesthetic techniques, and care specifically geared to the needs of the pediatric patient are used to make their dental experience safe and pleasant.

Who performs it?

An anesthesiologist and paramedic in charge of the Anestimagen center, the only Chilean medical center specialized and accredited for child care under general ambulatory anesthesia. They will at all times be watching over and monitoring the patient. We also have all the necessary equipment required by the health authority under COVID-19 emergency care such as N95 masks, biological protection suits, sterile patient barriers and high-level disinfection, HEPA filters with gas extraction, air inside the wards, automatic external defibrillators for resuscitation (AED), etc. Along with strict protocols in case an emergency arises during the procedure.

How is it done?

First, the anesthesiologist will review the medical pass indicating that the patient is a healthy patient (in addition to any complementary pre-operative examination reports if required before giving the medical pass).

He will then conduct a pre-interview to assess the child’s current health status.

The patient will enter the ward with his companion where he will have to breathe an anesthetic gas through a special mask that will make the patient “fall asleep”, at this time the patient may present involuntary movements, which is normal and associated with the procedure. When the patient is already sedated, the patient’s companion will go to a waiting room and the medical team will proceed to perform a nasal or oral intubation procedure to ensure proper breathing, install the monitoring equipment and a venous line (usually in the hand) that will be used to administer general anesthesia drugs. The corresponding dental treatment will be performed and once finished, the patient will be transferred on a stretcher to a recovery room until he/she returns to his/her normal state. For safety, the venous line will be removed before discharge and a small patch will be placed. Postoperative instructions will be given and once discharged by the medical team, the patient will be able to go home.

Are previous tests required?

As per protocol and to ensure the quality of the procedure, your ward will be required to have a medical pass from his/her pediatrician and/or treating specialist physician requesting a certificate of evaluation of the general health status to ensure that he/she is a healthy patient fit to undergo an outpatient general anesthesia procedure. To do so, you must make an appointment in advance, as the order must be delivered on the day of the procedure. The application for a medical pass will be submitted by Dra. Dani.

If your child has any significant pathology or doubts about the procedure, you can also request more information or contact the anesthesia team at pabellondental@anestimagen.cl.

Is general anesthesia a safe procedure?

Yes, every day thousands of procedures are performed under general anesthesia around the world with very low complications. General anesthesia is very safe, but there are always risks as in any medical procedure. Complications are rare, but may cause heart rhythm disturbances, respiratory problems, allergic reactions to medications and even death in children. To avoid the risk of complications as much as possible, it is important that parents comply with the previous indications. The vast majority of dental treatments are minimally invasive under general anesthesia, do not involve large incisions and do not involve interventions in other parts of the body.

What do I tell my child about anesthesia?

Children who understand what is happening will have a more positive experience. It is important to be honest with your child. However, keep in mind your child’s age and maturity level. In the event that your child can understand what is going to happen, use friendly words to help them understand, such as “take a nap” when referring to being under anesthesia or being positive that their teeth will look nice.

In many cases infants or young children will not understand what is happening and the first stage of general anesthesia where a mask is worn over their nose and mouth is a procedure that can be somewhat uncomfortable for them (mainly because of the smell) and distressing for their parents. However, it is a process that only lasts a few seconds from the time it starts until they “fall asleep” and they may not remember much when they wake up in the recovery room.

As mentioned above, it is normal for the patient to present involuntary movements when falling asleep and it is not due to any complication. The most important thing is to be calm in front of them to make the experience as pleasant as possible.

Will my child have discomfort upon awakening from outpatient general anesthesia?

Children wake up disoriented after dental treatment under general outpatient anesthesia, so it is very important to have a parent or guardian present to rock and soothe them until they are awake and calm.

Generally, dental discomfort is associated with the type of procedure and Dr. Dani will leave the pavilion at the end of the pavilion to communicate the care they should take with their little one.

It is normal to have discomfort for 48 hours when swallowing, slight cough or some phlegm from the intubation process.

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Este aparatito de metal que se ve ahí se llama "recuperador de espacio". Se instala de inmediato en zonas donde se ha sacado un diente y los demás se han movido, cerrando el espacio. Muchas veces, esta situación evita que el diente definitivo salga de buena forma y, en casos más graves, queda atrapado, necesitando tratamientos más invasivos para dar solución a ese problema. Así que el recuperador de espacio es una súper buena alternativa para que los dientes definitivos erupcionen como corresponde. Es fácil de instalar y fácil de retirar. En este caso, ya recuperamos el espacio y esperaremos a que salga la puntita del diente definitivo para retirar el aparatito. ¡Una maravilla! 💖 ...

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Más de 600 alumnos ya se han inscrito*

¡Único curso que incluye un motor de endodoncia de regalo!

😊 Estoy encantada de compartir con todos ustedes la realización de nuestro cuarto curso presencial sobre endodoncia mecanizada en dientes temporales.

🏨 Este exclusivo curso se llevará a cabo en el hermoso Hotel Olá, en Providencia, Santiago de Chile.

🌟 Para garantizar una atención personalizada y una experiencia de aprendizaje de calidad, hemos limitado el número de cupos. Aunque todavía hay espacios disponibles, te sugiero que te inscribas pronto para asegurar tu lugar.

📚 No necesitas traer ningún material, pues todo estará proporcionado.

📅 El curso está programado para el 3 de agosto de 2024. Será una oportunidad única para combinar la formación teórica con práctica en dientes anteriores y molares.

👩‍⚕️ Si eres un profesional que busca mejorar en esta especialidad, no dejes pasar esta oportunidad.

⏳ Debido a la exclusividad del curso y al limitado número de cupos, te sugiero inscribirte cuanto antes para asegurar tu lugar.

🔗 Inscríbete en: www.danidentista.cl/cursos

👋 ¡Nos vemos en clases!

* En modalidad presencial y online.
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